A 16 year old boy from Nepal reported to our hospital with the complaint of cosmetic defect near the left eye, continuous tearing of eyes. His history revealed that he had sustained a blunt injury in the upper half of the face due to road traffic accident and he was primarily treated elsewhere 6 months back.
On clinical examination there was increased canthal distance in the left side from midline and obliteration of the canthal bay and caruncle. Lacrimal punctum did not dip into the lacrimal lake, thereby causing epiphora. 3DCT revealed an old medial wall fracture with minimal difference in skeletal intra orbital distance at the posterior poles of the globes. Hence the unilateral telecanthus was entirely soft tissue in origin and in this case, due to the faulty reattachment of the medial canthal ligament.
Maxillofacial Surgeon Dr. S. M. Balaji successfully corrected this defect using modified miniplate technique for the reattachment of the medial canthal ligament. Results were immediate and patient feels very happy to have the entire correction of eye defect along with epiphora correction without any visible scars on the face.
On clinical examination there was increased canthal distance in the left side from midline and obliteration of the canthal bay and caruncle. Lacrimal punctum did not dip into the lacrimal lake, thereby causing epiphora. 3DCT revealed an old medial wall fracture with minimal difference in skeletal intra orbital distance at the posterior poles of the globes. Hence the unilateral telecanthus was entirely soft tissue in origin and in this case, due to the faulty reattachment of the medial canthal ligament.
Maxillofacial Surgeon Dr. S. M. Balaji successfully corrected this defect using modified miniplate technique for the reattachment of the medial canthal ligament. Results were immediate and patient feels very happy to have the entire correction of eye defect along with epiphora correction without any visible scars on the face.
RSS Feed